Individual
DR. WILLIAM DAVID STRAYHORN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 120, FREDERICK, MD 21702-4397
(240) 566-3130
(240) 566-3131
Mailing address
PO BOX 1806, FREDERICK, MD 21702-0806
(240) 566-3130
(240) 566-3131
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
D0071626
MD
2084N0400X
Neurology Physician
Primary
2004024761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009001301
MO LICENSE
MO
Enumeration date
09/20/2006
Last updated
09/16/2014
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